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AMP Tutor Report (PLEASE NOTE: Fields marked with an asterisk (*) required.) |
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| Session Date: * |
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| Student Name: * |
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| Tutor Code: * |
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| Approximate Start of Session: |
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| Please select8:30 AM9:00 AM9:30 AM10:00 AM10:30 AM11:00 AM11:30 AM12:00 PM12:30 PM1:00 PM1:30 PM2:00 PM2:30 PM3:00 PM3:30 PM4:00 PM4:30 PM5:00 PM5:30 PM6:00 PM | |||||
| Approximate Length of Session * |
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| Please select0.50 hr1.00 hr1.50 hrs2.00 hrs2.50 hrs3.00 hrs3.50 hrs4.00 hrs | |||||
| Miles Driven (Round Trip): * |
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| Talk-Work-Play Distribution (e.g. T-W-P-W-W-P-T-W) * |
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| Q1. How well is the youth working/cooperating with you during the session? (10=Very cooperative; 1=Not cooperative at all/Very distracted) * |
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| Q2. How excited/enthusiastic was the youth in working during the sessions of the week? (10=Very Enthusiastic and Participative; 1=Not Participative at all) * |
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| Q3. How well is the youth grasping the material presented during sessions? (10=Understands everything; 1=Did not understand a single topic) * |
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| Q4. How easy was it to schedule and keep appointments for the week? (10=Scheduling on time, session start on time, no rescheduling; 1=Had to reschedule multiple time, session started late/ended early, no show) * |
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| Q5. How frequent were the visits in the last 3 weeks (3 is great, 1 or 0 is not so great)? (10=THREE two-hour sessions per week; 1=No sessions prior to this in the last three weeks) * |
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| Q6. Were you able to assess a positive difference in attitude in school and/or noted improvement in grades? (10=Positive attitude change PLUS school/parent/student account of grade increase) * |
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| Q7. How encouraging were parents/guardian of the youth’s efforts, and of the tutoring being offered? (10=Parents accessible, working space perfect, no interference during session; 1=Parents can’t be reached, poor working space, interference during session) * |
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